Q0161

Chlorpromazine hydrochloride, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen

Short Description: Chlorpromazine hcl 5mg oral

Coverage Code: Carrier judgment

Action Code: No maintenance for this code

Date Added: January 1, 2014

Effective Date: January 1, 2014

Termination Date:

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